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Individual

ADRIAN LAYNE GOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
314 S BROADWAY AVE STE 200, ADA, OK 74820-5818
(580) 235-0210
(580) 235-0211
Mailing address
112 W MAIN ST, PURCELL, OK 73080-4220
(405) 527-1785
(405) 527-1084

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
11/09/2010
Last updated
05/12/2011
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